X0306 4 2015-08-25 0000798783 UNIVERSAL HEALTH REALTY INCOME TRUST UHT 0001180997 RAMAGANO CHERYL K UNIVERSAL CORPORATE CENTER 367 SOUTH GULPH ROAD KING OF PRUSSIA PA 19406 1 VP, Treasurer & Secretary Shares Of Beneficial Interest 2015-08-25 4 M 0 3000 34.90 A 25093 D Option To Purchase Shares Of Beneficial Interest 34.90 2015-08-25 4 M 0 3000 0 D 2015-09-01 Shares Of Beneficial Interest 3000 0 D The option vested ratably on each of 9/1/2006, 9/1/2007, 9/1/2008 and 9/1/2009. Optionee was also granted Dividend Equivalent Rights on the same terms as the Option, pursuant to which the holder will receive the accrued cash dividends upon exercise of the Dividend Equivalent Rights. /s/ Charles F. Boyle, Attorney-in-Fact for Ms. Ramagano 2015-08-25